Montclair Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

264011 Issued in NE

Legal business name

MONTCLAIR HEALTHCARE LLC

Doing business as

Montclair Nursing and Rehabilitation Center

Practice address

2525 S 135TH Ave
Omaha, NE 68144-2424

Phone

(402) 333-2304

Fax

(402) 330-1428

NPI assigned

Jun 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rosalyn R. Burke

Title

Manager

Phone

(402) 333-2304

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Montclair Nursing and Rehabilitation Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1639116064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S 135TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442424",
            "telephone_number": "402-333-2304",
            "fax_number": "402-330-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S 135TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442424",
            "telephone_number": "402-333-2304",
            "fax_number": "402-330-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-333-2304"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "264011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025317200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montclair Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mira Montana
• Lemnis Milagros Montanes
• Jennelea R Montanez, PA
• Jaka M Montange, APRN
• Layla L Montaya
• Montclair Rehabilitation
• Monte Hinze Chiropractic PC
• Abbigayl Monte, PLMHP
• Anthony Joseph Montegut Sr., M.D.
• John Monteith

• Skilled Nursing Facility in Omaha, NE
• Providers in Omaha, NE by specialty
• Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.